A Novel Surgical Approach to Nasolabial Fistula

  • Gautham Ullas
  • K. V. VishwasEmail author
  • B. M. Joshna
Original Article


Infection of hair follicle is commonly called ‘boil’ or furunculosis. This can result in abscess formation leading to accumulation of pus and necrotic tissue. This can be more common in immunocompromised patients such as uncontrolled diabetes mellitus. Commonest organism to cause furunculosis is believed to be Staphylococcus aureus. We present an elderly patient where multiple nasal vestibular furunculosis suppurated resulting in extensive tissue damage and nasolabial fistula. Reconstruction was delayed to accommodate tissue healing from hyperglycemic insult and necrosis. Alar advancement flap was employed to give a suitable 3 layer closure to the fistula.


Nasolabial fistula Diabetes mellitus Alar advancement Furunculosis nose 



This study did not receive any funding or external grant.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest in this study.

Ethical Approval

All procedures performed in this study involving human participant were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient included in the study.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgerySandwell and West Birmingham Hospitals NHS TrustWest MidlandsUK
  2. 2.Department of ENT-HNSRajaRajeswari Medical College and HospitalBangaloreIndia

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